Provider Demographics
NPI:1447452958
Name:RAMOS-ABELENDA, IDALMIS (DDS)
Entity type:Individual
Prefix:
First Name:IDALMIS
Middle Name:
Last Name:RAMOS-ABELENDA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 S CONGRESS AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33461-2128
Mailing Address - Country:US
Mailing Address - Phone:561-434-6661
Mailing Address - Fax:561-434-6662
Practice Address - Street 1:1620 S CONGRESS AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-2128
Practice Address - Country:US
Practice Address - Phone:561-792-1079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN179291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice